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Prevalensi Anemia Defisiensi Besi dan Faktor-Faktor yang Memengaruhi pada Anak Balita dengan Gizi Buruk Intan Zorena Rezky; Harapan Parlindungan Ringoringo; Roselina Panghiyangani; Edi Hartoyo; Rahmiati Rahmiati
Homeostasis Vol 5, No 2 (2022)
Publisher : Homeostasis

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Abstract

Abstract: Iron deficiency anemia (IDA) is anemia due to impaired erythrocyte formation due to a lack of iron in the body. This research aims to obtain data on the prevalence of iron-deficient anemia and iron-deficient; and to find out the relationship between children's nutritional status, mother's education/occupation/parity, and family income to the prevalence of iron deficiency anemia experienced by children under five at the Cempaka Health Center Banjarbaru. The method used is analytic observational with a cross-sectional approach. Determination of the sample using a consecutive sampling technique. The sample consisted of 30 children who performed anthropometric examinations and a complete peripheral blood laboratory. Based on the result obtained, it show that the prevalence of non-iron-deficient and iron-deficient anemia were 27%, 10%, and 73%, respectively. The tests carried out in analyzing the data were the chi-square test and Fisher's exact test with a 95% confidence level. The results of the analysis of the relationship between the prevalence of iron deficiency anemia with the nutritional status of children (p=0.195), mother's education (p=0.210), mother's occupation (p=1), mother's parity (p=0.210), and family income (p=0.267). It can be inferred that the prevalence of iron deficiency anemia and the factors that affect children under five are not related (p>0.05). Keywords: iron deficiency anemia, child nutritional status, maternal education, maternal occupation, maternal parity, family’s income Abstrak: Anemia defisiensi besi (ADB) adalah anemia akibat pembentukan eritrosit terganggu karena kurangnya jumlah zat besi dalam tubuh. Penelitian ini bertujuan memperoleh data prevalensi anemia terdefisiensi besi serta terdefisiensi besi; dan mengetahui hubungan status gizi anak, pendidikan/pekerjaan/paritas ibu, dan penghasilan keluarga terhadap prevalensi anemia defisiensi besi yang dialami anak balita di Puskesmas Cempaka Banjarbaru. Metode yang digunakan yaitu observasional analitik dengan pendekatan cross-sectional. Penentuan sampel menggunakan consecutive sampling technique. Sampel berjumlah 30 anak yang melakukan pemeriksaan antropometri, dan laboratorium darah tepi lengkap. Berdasarkan hasil penelitian menunjukkan bahwa prevalensi anemia terdefisiensi besi dan terdefisiensi besi berturut-turut yaitu 27%, 10% dan 73%. Uji yang dilakukan dalam menganalisis data yaitu chi-square test dan Fisher’s exact test dengan confidence level 95%. Hasil analisis hubungan antara prevalensi anemia defisiensi besi dengan status gizi anak (p=0,195), pendidikan ibu (p=0,210), pekerjaan ibu (p=1), paritas ibu (p=0,210), dan penghasilan keluarga (p=0,267). Dapat disimpulkan bahwa antara prevalensi anemia defisiensi besi dengan faktor-faktor yang mempengaruhi balita tidak saling berhubungan (p>0,05). Kata-kata kunci: anemia defisiensi besi, status gizi anak, pendidikan ibu, pekerjaan ibu, paritas ibu, penghasilan keluarga
Profil Hematologi pada Anak dengan Suspek Covid-19 di RSD Idaman Banjarbaru Tahun 2020 – 2021 Sarah Nur Azizah; Roselina Panghiyangani; Harapan Parlindungan Ringoringo; Edi Hartoyo; Rahmiati Rahmiati
Homeostasis Vol 5, No 2 (2022)
Publisher : Homeostasis

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Abstract

Abstract: Corona virus disease (COVID-19) is an infectious disease caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). COVID-19 affects all age groups from neonates to the elderly. Haematological profile have been used as important diagnostic and prognostic indicators in COVID-19. The aim of this study is to determine the hematological parameters including erythrocytes, haemoglobin (Hb), hematocrit, Mantzer index (IM), Mean Corpuscular Volume (MCV), Mean Corpuscular Haemoglobin (MCH), Mean Corpuscular Haemoglobin Concentration (MCHC), leukocytes (type count: basophils, eosinophils, band neutrophils, segments neutrophil, lymphocytes, monocytes), platelets, and Neutrofil Limphocytes Ratio (NLR) in children with suspected COVID 19 at Idaman Hospital Banjarbaru 2020-2021. This study is done using descriptive retrospective method of the suspected COVID-19 pediatric patients. The data used on this study is medical records of the pediatric patients with suspected COVID-19 at Idaman Hospital Banjarbaru 2020-2021. The results showed that children with suspected COVID-19 had normal values of the hematological parameters including RBC 69.81%, Hb 69.8%, hematocrit 73.5%, MCV 67.92%, MCH 58.49%, MCHC 84.90%, leukocytes 67.92%, basophils 98.11%, platelets 69.81% and RNL 66.03%. The decrease in value occurred in the eosinophil parameter as much as 62.26%, bands neutrophils 88.6% and segment neutrophils 45.28%. An increase in the value occurred in the hematological parameters of lymphocytes as much as 41.5%, monocytes 49.05%, and Mantzer index 92.47%. Keywords: children, COVID-19, haematology profile Abstrak: Corona virus disease (COVID-19) merupakan penyakit menular yang diakibatkan Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). COVID-19 menyerang semua kelompok usia dari neonatus hingga lanjut usia. Parameter hematologi penting dalam mendiagnosis COVID-19 dan menilai prognosis pasien. Tujuan dilaksanakannya penelitian ini untuk mengetahui profil hematologi, meliputi eritrosit, hemoglobin (Hb), hematocrit, Indeks Mantzer (IM), Mean Corpuscular Volume (MCV), Mean Corpuscular Haemoglobin (MCH), Mean Corpuscular Haemoglobin Concentration (MCHC), leukosit (hitung jenis: basofil, eosinofil, neutrofil batang, neutrofil segmen, limfosit, monosit), trombosit, dan Rasio Neutrofil Limfosit (RNL) pada anak dengan suspek COVID-19 di RSD Idaman Banjarbaru 2020-2021. Rancangan penelitian ini menggunakan metode penelitian deskriptif retrospektif, menggunakan data rekam medis pasien anak dengan suspek COVID-19 di RSD Idaman Banjarbaru Tahun 2020-2021. Hasil penelitian menunjukkan bahwa anak dengan suspek COVID – 19 lebih banyak memiliki nilai normal pada parameter hematologi RBC sebanyak 69,81%, Hb 69,8%, hematokrit 73,5%, MCV 67,92%, MCH 58,49%, MCHC 84,90%, leukosit 67,92%, basofil 98,11%, trombosit 69,81% dan RNL 66,03%. Penurunan nilai terjadi pada parameter eosinofil sebanyak 62,26%, neutrofil batang 88,6% dan neutrofil segmen 45,28%. Peningkatan nilai terjadi pada parameter hematologi limfosit sebanyak 41,5%, dan monosit 49,05% dan Indeks Mantzer sebanyak 92,47%. Kata-kata kunci: anak, COVID-19, profil hematologi
Prevalensi Reaksi Transfusi Darah Penderita Talasemia Beta Mayor yang Bergantung Transfusi di RSD Idaman Banjarbaru Tahun 2020-2021 Tasya Radhia Salsabila; Harapan Parlindungan Ringoringo; Roselina Panghiyangani; Edi Hartoyo; Rahmiati Rahmiati
Homeostasis Vol 5, No 1 (2022)
Publisher : Homeostasis

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Abstract

Abstract: Patients with beta thalassemia major require regular and routine blood transfusions throughout life to maintain hemoglobin levels in order to survive. Blood transfusion in patients with beta thalassemia major who depend on transfusion can cause side effects and unwanted transfusion reactions. Transfusion reactions range from mild to life-threatening. The purpose of this study was to obtain data on the prevalence of transfusion reactions in transfusion-dependent beta thalassemia patients at Idaman Hospital Banjarbaru in 2020-2021. This study is a descriptive study that was taken retrospectively using patient medical record data. The results showed that there were 131 data on blood transfusion reactions of patients with beta thalassemia major who were dependent on transfusion from a total of 1591 data on transfusion at Idaman Hospital Banjarbaru for the period October 2020 - September 2021 with a prevalence of 8.2%. Moderate-severe transfusion reactions were the most common type, with 90 blood transfusion reactions (68.7%). The five main symptoms of a blood transfusion reaction that occur are fever, chills, pruritus, angioedema, and urticaria. All transfusion reactions that occurred were acute transfusion reactions and used PRC blood components. Keywords: beta thalassemia major, transfusion dependent, blood transfusion, transfusion reactions, PRC (Packed Red Cells) Abstrak: Pasien talasemia beta mayor memerlukan transfusi darah secara teratur dan rutin sepanjang hidup untuk mempertahankan kadar hemoglobin guna bertahan hidup. Transfusi darah pada penderita talasemia beta mayor yang bergantung transfusi dapat menimbulkan efek samping dan reaksi transfusi yang tidak diinginkan. Reaksi transfusi tersebut dari ringan sampai mengancam jiwa. Tujuan penelitian ini adalah memperoleh data prevalensi reaksi transfusi penderita talasemia beta mayor yang bergantung transfusi di RSD Idaman Banjarbaru Tahun 2020-2021. Penelitian ini merupakan penelitian deskriptif yang diambil secara retrospektif menggunakan data rekam medis pasien. Hasil penelitian menunjukkan bahwa terdapat 131 data reaksi transfusi darah penderita talasemia beta mayor yang bergantung transfusi dari total 1591 data transfusi di RSD Idaman Banjarbaru periode Oktober 2020 – September 2021 dengan prevalensi sebesar 8,2%. Reaksi transfusi sedang-berat merupakan jenis yang paling banyak terjadi sebanyak 90 reaksi transfusi darah (68,7%). Lima gejala utama dari reaksi transfusi darah yang terjadi adalah demam, menggigil, pruritus, angioedema, dan urtikaria. Semua reaksi tranfusi yang terjadi adalah reaksi transfusi akut dan menggunakan jenis komponen darah PRC. Kata-kata kunci: talasemia beta mayor, bergantung transfusi, transfusi darah, reaksi transfusi, PRC (Packed Red Cells)
Profil Hematologi pada Bayi Baru Lahir dari Ibu Suspek Covid-19 di RSD Idaman Banjarbaru Tahun 2020-2021 Ellen Jovita Tjitradi; Harapan Parlindungan Ringoringo; Roselina Panghiyangani; Edi Hartoyo; Rahmiati Rahmiati
Homeostasis Vol 5, No 2 (2022)
Publisher : Homeostasis

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (240.596 KB)

Abstract

Abstract: Coronavirus Disease 2019 (COVID-19) is a disease caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and it is highly contagious. This study aims to determine the hematological profile which includes erythrocytes (RBC), RDW, Hb, hematocrit, MCV, MCH, MCHC, leukocytes (leukocyte differential Count: basophils, eosinophils, neutrophils, lymphocytes, monocytes), platelets, and NLR in newborns from mothers with suspected COVID-19 at the Idaman Hospital Banjarbaru 2020-2021. This research method is descriptive retrospective with data collection through patient medical records. The sampling technique is purposive sampling. In this study, a total sample of 83 neonates from pregnant women with suspected COVID-19 was obtained. However, from the 83 sample, the sample that has hematological profile data and meets the criteria is 69 sample. The results showed that 42 neonates (62,69%) with reactive IgM tests, and 51 neonates (76,12%) with nonreactive IgG tests. In the distribution of the hematological profile of newborns from mothers with suspected COVID-19, found an increase NLR in 33 neonates (47,83%), an increase hemoglobin in 8 neonates (11,59%), an increase hematocrit in 10 neonates (14,49%), an increase MCV in 8 neonates (11,59%), and decrease MCHC in 8 neonates (11,59%). Keywords: hematology profile, newborns, suspected COVID-19 Abstrak: Coronavirus Disease 2019 (COVID-19) adalah penyakit yang disebabkan oleh virus Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) dan sangat menular. Penelitian ini bertujuan untuk mengetahui profil hematologi yang meliputi eritrosit (RBC), RDW, Hb, hematokrit, MCV, MCH, MCHC, leukosit (hitung jenis : basofil, eosinofil, neutrofil, limfosit, monosit), trombosit, dan NLR pada bayi baru lahir dari ibu suspek COVID-19 di RSD Idaman Banjarbaru Tahun 2020-2021. Metode penelitian ini adalah deskriptif retrospektif dengan pengambilan data melalui rekam medis pasien. Teknik pengambilan sampel adalah purposive sampling. Dalam penelitian ini didapatkan total sampel 83 neonatus dari ibu hamil dengan suspek COVID-19. Namun, dari 83 sampel tersebut, sampel yang memiliki data profil hematologi dan memenuhi kriteria berjumlah 69 sampel. Hasil penelitian menunjukkan pada pemeriksaan rapid test IgM neonatus ditemukan hasil reaktif sebanyak 42 neonatus (62,69%) dan rapid test IgG ditemukan hasil non reaktif sebanyak 51 neonatus (76,12%). Distribusi profil hematologi bayi baru lahir dari ibu suspek COVID-19 ditemukan peningkatan NLR sebanyak 33 neonatus (47,83%), peningkatan hemoglobin sebanyak 8 neonatus (11,59%), peningkatan hematokrit sebanyak 10 neonatus (14,49%), peningkatan MCV sebanyak 8 neonatus (11,59%), dan penurunan MCHC sebanyak 8 neonatus (11,59%). Kata-kata kunci: profil hematologi, bayi baru lahir, suspek COVID-19